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Boutonniere deformity, also called buttonhole deformity, can happen due to rheumatoid arthritis. The middle finger joint will bend toward the palm while the outer finger joint may bend opposite the palm. It may be the result of chronic inflammation of the finger's middle joint. Treatment may include splinting to keep the middle joint extended.
Rheumatoid arthritis (RA) can affect any joint in your body, including those in your hands and fingers. You may have: Hand pain, finger pain, swelling, and stiffness. Hand joints and finger joints that are warm and tender to the touch. The same joints affected on both sides of your body (both wrists, for instance)